AGM 2010

ROUND TABLE MOROCCO

REGISTRATION FORM

PARTICIPANT

First Name	:
Lastname	:
PARTNER	:
Address	:
Phone	:
Fax	:
Email	:

TABLE - ASSOCIATION DETAILS

ASSOCIATION NAME/NUMBER :  

POSITION IN ASSOCIATION :

FLIGHT INFORMATION

ARRIVAL DATE & TIME:	DEPARTURE DATE & TIME:
ARRIVAL FLIGHT NUMBER:	DEPARTURE FLIGHT NUMBER:

REGISTRATION AND HOTEL ACCOMMODATION

BEFORE April 1^st
290€/Pax for registration before April 1^st	1 x 290 €
Partner	x 290 €
	TOTAL

AFTER April 1^st
320 €/Pax for registration after April 1^st	1 x 320 €
Partner	x 320 €
	TOTAL

Préférences for accomodation

Homehosting (first in, first served !)      

Hotel                                                   

PAYMENT

Please wire transference to :

ACCOMPT NUMBER: AGM TRM

BANK: Crédit du Maroc – Casablanca
RIB: 021 780 0000 2300 1501 3396 58